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Minnesota rates for HCPCS 90967

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.98 / $18.98 / $18.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.62 / $18.17 / $22.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.74 / $31.74 / $793.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $50.29 / $61.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.18 / $51.64 / $146.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.37 / $47.12 / $73.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.39 / $48.35 / $115.39
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.27 / $45.14 / $66.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $27.85 / $50.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $34.92 / $162.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.85 / $31.30 / $60.43